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General NPI Number Information
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NPI Number | 1073208369
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Entity Type | Organization
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Legal Business Name | REAL THERAPY SOLUTIONS PLLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 12712 W LAKE HOUSTON PKWY STE B-4056
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City | HOUSTON
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State | TX
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Zip | 77044-6467
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Country | US
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Telephone | 281-205-3900
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Fax | 281-595-9660
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Provider Business Mailing Address
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Address Line | 12712 W LAKE HOUSTON PKWY STE B-4056
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City | HOUSTON
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State | TX
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Zip | 77044-6467
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Country | US
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Telephone | 281-205-3900
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Fax | 281-595-9660
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. NASTASHA MORANT
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Credential | LPC
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Telephone | 832-340-1603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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Taxonomy #10
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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Taxonomy #11
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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